National Provider Identifier [NPI]: |
1104811132 |
Last Name Of The Provider |
NAIR |
First Name Of The Provider |
KESAV |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
40 CROSS ST |
Street Address 2 Of The Provider |
4TH FL |
City Of The Provider |
NORWALK |
Zip Code Of The Provider |
068514647 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
91 |
Number Of Services |
132741 |
Number Of Medicare Beneficiaries |
353 |
Total Submitted Charge Amount |
3327483.5 |
Total Medicare Allowed Amount |
1861118.49 |
Total Medicare Payment Amount |
1448886.43 |
Total Medicare Standardized Payment Amount |
1430429.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
57 |
Number Of Drug Services |
129323 |
Number Of Medicare Beneficiaries With Drug Services |
121 |
Total Drug Submitted ChargeAmount |
2624451.5 |
Total Drug Medicare AllowedAmount |
1566615.63 |
Total Drug Medicare PaymentAmount |
1225096.87 |
Total Drug Medicare Standardized Payment Amount |
1225096.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
3418 |
Number Of Medicare Beneficiaries With Medical Services |
353 |
Total Medical Submitted Charge Amount |
703032 |
Total Medical Medicare Allowed Amount |
294502.86 |
Total Medical Medicare Payment Amount |
223789.56 |
Total Medical Medicare Standardized Payment Amount |
205332.93 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
18 |
Number Of Beneficiaries Age 65 to 74 |
125 |
Number Of Beneficiaries Age 75 to 84 |
144 |
Number Of Beneficiaries Age Greater 84 |
66 |
Number Of Female Beneficiaries |
186 |
Number Of Male Beneficiaries |
167 |
Number Of Non Hispanic White Beneficiaries |
308 |
Number Of Black or African American Beneficiaries |
23 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
292 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
61 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
54 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
24 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
2.1628 |